| LCA CASE NUMBER | I-200-21153-363341 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-02 |
| DECISION DATE | 2021-06-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Laboratory Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Hospital of Barstow, Inc. |
| TRADE NAME DBA | Barstow Community Hospital |
| EMPLOYER ADDRESS1 | 820 E. Mountain View Street |
| EMPLOYER CITY | Barstow |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92311 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17609573203 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Christensen |
| EMPLOYER POC FIRST NAME | Jeana |
| EMPLOYER POC MIDDLE NAME | Lyn |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS 1 | 820 E. Mountain View Street |
| EMPLOYER POC CITY | Barstow |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92311 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17609573203 |
| EMPLOYER POC EMAIL | Jeana_Christensen@BarstowHospital.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Covington |
| AGENT ATTORNEY FIRST NAME | Forrest |
| AGENT ATTORNEY MIDDLE NAME | Keith |
| AGENT ATTORNEY ADDRESS1 | 1819 Fifth Avenue North |
| AGENT ATTORNEY CITY | Birmingham |
| AGENT ATTORNEY STATE | AL |
| AGENT ATTORNEY POSTAL CODE | 35203 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12055218389 |
| AGENT ATTORNEY EMAIL ADDRESS | kcovington@bradley.com |
| LAWFIRM NAME BUSINESS NAME | Bradley Arant Boult Cummings LLP |
|
| STATE OF HIGHEST COURT | AL |
| NAME OF HIGHEST STATE COURT | Alabama Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 820 E. Mountain View Street |
| LCA CASE WORKLOC1 CITY | Barstow |
| WORKSITE COUNTY | SAN BERNARDINO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92311 |
| LCA CASE WAGE RATE FROM | 39.81 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 28.76 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
